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1043591480
JEREMY HOUTSMA
PORTLAND, OR
NPI
1043591480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-30
Last Update Date
2017-05-11
Business Address
-- JEREMY HOUTSMA LMHC
13654 SE BUSH ST
PORTLAND, OR 97236-2936
Phone number: 201-638-0704
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Mailing Address
-- JEREMY HOUTSMA LMHC
13654 SE BUSH ST
PORTLAND, OR 97236-2936
Phone number: 201-638-0704
Copy
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